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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A.' NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait laY be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assllles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired. a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor <is not licensed is required by law, both the owner and contractor laY be
<br />cited for a lisdeJeanor ,iolation under state'law. If the owner or intended contractor are uacertain as to what licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Bailding Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections. of this application for wbicb they will be responsible. If you, as the qamer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that laY be an indication that he is not properly licensed and is not entitled to peraitting privileges in the
<br />City of Zepbyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of IIFlorida's Construction Lien Law - HOIeOIIJler's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is soeone other than the
<br />.owner", I certify tbat I bave obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the
<br />"owner II prior to cOlleDceJent.
<br />
<br />. . ..
<br />E. CONTRACTOR'S/eWNER'SAFFIDAVIT .
<br />I certifjthat all the inforlation in tbis appli<:aUon isaceurate and that all work will be . done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developllent.
<br />\
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<br />Application is hereby aade to obtain a perait to do work and installation as indicated. I certify that no work or
<br />installation has c~ced prior to issuance of a perait and that all work will be perforaed to Jeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developJent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJental agencies JaY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water HanageJent District - Wetts, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Aray Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rebabilitative Services, EnvironJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Flood ZOne "AD or "A,etc.", it is understood that a drainage plan
<br />addressing a .cOlpeDsating volllle" will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />. A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall beCOle invalid
<br />unless the work authorized by such perait is cOlleDced within six IOnths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is COIIenced. One 90 day eJ:tension of tile, lilY be
<br />allowed for the perait with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARHING TO OIfIER: YOUR FAILURE TO RECORD A NOTICE OF COHHEKCEJlElft' HAY RESULr IN YOUR PAYING TWICE FOR IMPROVEIIEIft'S TO YOUR
<br />PROPERTY. IF YOU 'Ilft'END TO OBTAIN FINANCING, COHSULr WITH YOUR LINDER OR AN A'lTORMEY BEFORE RECORDING YOUR NOTICE OF
<br />COHHENCEJlElft'. JOBS UNDER $i,sOO IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMEIfclMm".
<br />
<br />Xcl~~
<br />SIGlA'l' : OWNER OR AGE1ft'
<br />
<br />ailu'~
<br />SI Arm: COlft'RACTOR
<br />
<br />srArE OF FLORIDA
<br />coum OF PASCO
<br />The foregoing instrumentfwas acknowledged
<br />before me this I ~r..JII;Jupt.. , 19 tJ't by
<br />I -
<br />
<br />srArE OF FLORIDA
<br />coum OF PAS eD
<br />The foregoing instrument was acknowledged
<br />before me this /S1/ MNuflR..Y, 19~ by
<br />
<br />to me or who has
<br />
<br />who is Dersonally known to me or who has
<br />produced
<br />as identificati and who did[did not
<br />ta e .t .
<br />
<br />who is personally known
<br />produced
<br />as identifi
<br />t ke n a
<br />
<br />
<br />t" n and who didLdid not
<br />
<br />t~~
<br />(Sig ure Ih.
<br />/iJ/}f(~ K ' 6,JbE:flSlS,J
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />.~
<br />(Si a re Jh J
<br />IYJ~~<( f(. . QJ.iJtJlS{i
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />#'^...'" Mary K Henderson
<br />*W *My Commission CC705964
<br />".." ".,- Expires February 6. 2002
<br />
<br />t1>"... Mary K Henderson
<br />#'t"<r.'"
<br />*~*My Commission CC705964
<br />
<br />...~..., Expires February 6,2002
<br />l't'f"'''
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